Diagnostic and Therapeutic Neuroradiology

This book presents a wide-ranging series of illustrative clinical cases that cover the main pathologies and areas of interest in diagnostic and therapeutic neuroradiology. The aim is to enable the reader to learn important lessons from real cases that exemplify the caseload and capabilities of a large, modern neuroradiology department. The cases are presented in a quiz format. For each one, the first page documents clinical and imaging findings, followed by questions concerning these findings, differential diagnosis, and other aspects. On the second page, the answers are provided, with concise explanation and discussion. Attention is also drawn to the relevant available literature. Most of the cases derive from the Department of Neuroradiology at the University Hospital Center of Porto (Portugal), which is staffed by a large multidisciplinary team providing cutting-edge services. In addition, some cases from other centers have been included to ensure wider representation of experience. The book will be of particular value for residents and fellows in neuroradiology, radiology, neurology, and neurosurgery.

·         Acute calcified longus colli tendinitis

·         Acute ischemic stroke in patient with hereditary hemorrhagic

telangiectasia (HHT) and a pulmonary AVM

·         Acute ischemic stroke of the leſt internal carotid artery (ICA) territory secondary to cervical ICA dissection and thromboembolic MCA tandem occlusion

·         Acute necrotizing encephalitis (ANE) caused by H1N1

·         Apert Syndrome (AS)

·         Arteriovenous dural fistula of the filum terminale

·         Bilateral carotid artery dissection aſter near-hanging

·         Bilateral perisylvian polymicrogyria

·         Cavernous sinus meningioma with symptomatic ICA stenosis

·         Cerebral Aspergillosis

·         Chronic recurrent multifocal osteomyelitis (CRMO)

·         CMV infection

·         Congenital factor XIII deficiency

·         Craniopharyngeal canal

·         Cysticercosis of extraocular muscle and brain

·         Desmoplastic Infantile Ganglioglioma

·         Early-onset Alzheimer disease

·         Enterovirus 71 encephalitis

·         Epidural Empyema

·         Essential tremor

·         Fenestral and cochlear otosclerosis

·         Fetal Goiter

·         Fibromatosis Colli

·         Hepatic Encephalopathy

·         Horizontal gaze palsy with progressive scoliosis (HGPPS)

·         Hydrocephalus, missing septum pellucidum (SP), schizencephaly

·         and pathological signals of the placenta

·         Hypoglycaemic encephalopathy

·         Hypoxic-ischemic encephalopathy

·         Incontinentia pigmenti (IP)

·         Intraosseous pseudomeningocele

·         Laminolysis

·         Langerhans Cell Histiocytosis (LCH)

·         Lingual haemangioma,

·         Lyme neuroborreliosis

·         Major β-Thalassemia related Hemochromatosis

·         Methanol intoxication

·         Middle Ear Squamous Cell Carcinoma

·         Motor neuron disease – Amyotrophic Lateral Sclerosis

·         Multilevel disc degenerative disease

·         Neurodegeneration with brain iron accumulation (NBIA)

·         Neurodegenerative Langerhans Cell Histiocytosis

·         Opalski syndrome

·         Osmotic pontine and extrapontine demyelination

·         Parathyroid Adenoma

·         Persistent stapedial artery

·         Primary Angiitis of the Central Nervous System

·         Primary central nervous system (CNS) amelanotic melanoma

·         Primary hypoparathyroidism

·         Primary intracranial solitary fibrous tumor/hemangiopericytoma

·         Progressive Multifocal Leukoencephalopthy (PML)

·         Pseudopathologic Brain Parenchymal Enhancement

·         Pseudoprogression tumoral

·         Pulmonary tuberculosis with extrapulmonary involvement (CNS, musculoskeletal and genitourinary)

·         Retinoblastoma

·         Rheumatoid meningitis

·         Right vertebral dissecting aneurysm

·         Saethre-Chotzen Syndrome

·         Severe anemia

·         Severe hypoxic-ischemic injury

·         Skull base osteomyelitis

·         Spinal arteriovenous dural fistula

·         Spinal cord arteriovenous malformation

·         Sturge-Weber syndrome with polymicrogyria

·         Subacute carbon monoxide poisoning secondary to suicide attempt

·         Tentorial dural fistula

·         Textiloma, foreign-body granuloma

·         Tumefactive MS

·         Vanishing white matter disease

·         Wallerian degeneration of corticospinal tract

·         Wernicke’s Encephalopathy

“This case-based neuroradiology book consists of 70 cases mainly from Portuguese neuroscience centres. … This book would be suitable for those trainees preparing for their final FRCR examination, as well as those in subspeciality neuroradiology training. The case mix is excellent, with some great examples of rarer conditions.” (RAD Magazine , September, 2018)

João Abel L.M. Xavier is a Portuguese specialist in neuroradiology, certified by the European Society of Neuroradiology and the Portuguese College of Neuroradiology. He is current Director of the Department of Neuroradiology at the University Hospital Center of Porto, where he has been a staff member since 1994. He also is the Head Professor of Radiology at the University of Porto’s Biomedical Sciences Institute and is visiting professor at the Master’s degree in Medical Physics in the Faculty of Sciences, University of Porto. Dr. Xavier is a past president of the Portuguese College of Neuroradiology and a current member of the Portuguese Society of Neuroradiology’s committee on interventional neuroradiology. He was president of the IIIrd and VIIIth congresses of the Portuguese Society of Neuroradiology (2005 and 2012) and of the Oporto Neuroradiology 50th Anniversary International Symposium (2016). His main interests are interventional neuroradiology, medical physics, and advanced MRI techniques. He regularly performs diagnostic and interventional procedures, including treatment of dural shunts, AVMs, carotid-cavernous fistulae and aneurysms, thrombectomy in ischemic stroke, and angioplasties.

 Cristina Giesta Ramos is a Neuroradiologist specialist since 2008, after her residency in Neuroradiology at the Department of Neuroradiology of Hospital Geral de Santo António, Porto. During her residency, she did a period of six months as a visiting resident at the Department of Neuroradiology of Mayo Clinic, Rochester, Minnesota. She is a certified neuroradiologist by the European Society of Neuroradiology and by the Portuguese College of Neuroradiology since 2008.Her activity includes diagnostic neuroradiology, participating in multidisciplinary meetings on CNS tumors and orientation of residents. In the academic area, she is involved in pre- and post-graduated teaching and mastering in courses orientated to other medical specialities. She has also worked as an invited assistant of Neuroanatomy at University of Porto’s Biomedical Sciences Institute (ICBAS -Portugal) in the period 2010-2016. Her main interests are Diagnostic Neuroradiology, particularly advanced MRI techniques, as perfusion imaging, spectroscopy and DTI and tractography for pre-surgical mapping in tumors and epilepsy.

Cristiana Vasconcelos is an attending neuroradiologist in the Department of Neuroradiology of Centro Hospitalar of Porto. She received her medical degree at the Faculty of Medicine of Porto University in 1997 and completed the neuroradiology residency at Centro Hospitalar of Porto in 2001. During her residency, she passed a short period as a visiting resident at division of Neuroradiology of Johns Hopkins School of Medicine, Baltimore, Maryland. Cristiana Vasconcelos main interests includes Brain and Head and Neck Disorders and MRI advanced techniques. She has published in some international journals, including American Journal of Neuroradiology, Neuroradiology, Cognitive Behavioral Neurology and Brain Structure and Function.

This book presents a wide-ranging series of illustrative clinical cases that cover the main pathologies and areas of interest in diagnostic and therapeutic neuroradiology. The aim is to enable the reader to learn important lessons from real cases that exemplify the caseload and capabilities of a large, modern neuroradiology department. The cases are presented in a quiz format. For each one, the first page documents clinical and imaging findings, followed by questions concerning these findings, differential diagnosis, and other aspects. On the second page, the answers are provided, with concise explanation and discussion. Attention is also drawn to the relevant available literature. Most of the cases derive from the Department of Neuroradiology at the University Hospital Center of Porto (Portugal), which is staffed by a large multidisciplinary team providing cutting-edge services. In addition, some cases from other centers have been included to ensure wider representation of experience. The book will be of particular value for residents and fellows in neuroradiology, radiology, neurology, and neurosurgery.

Presents a series of informative clinical cases

Employs a quiz format to aid learning

Covers both diagnostic and therapeutic neuroradiology

Provides clinical–radiologic correlation

Presents a series of informative clinical cases

Employs a quiz format to aid learning

Covers both diagnostic and therapeutic neuroradiology

Provides clinical–radiologic correlation